We consider applicants for all positions without regard to race, color, religion, sex,
national origin, age, marital or veterans status, the presence of a non-job-related medical condition or
disability, or any other legally protected status.

Employment Experience

Start with your present or last job. Include military service assignments and volunteer activities.
You may exclude organization names which indicate race, color, religion, sex, national origin, disability,
or other protected class.

Employer

Address

City

State

Zip

Work Phone

Supervisor

Dates Employed:

From

To

Hourly Rate / Salary:

Starting

Ending

Work Performed

Reason For Leaving

Employer

Address

City

State

Zip

Work Phone

Supervisor

Dates Employed:

From

To

Hourly Rate / Salary:

Starting

Ending

Work Performed

Reason For Leaving

Employer

Address

City

State

Zip

Work Phone

Supervisor

Dates Employed:

From

To

Hourly Rate / Salary:

Starting

Ending

Work Performed

Reason For Leaving

School Name – High School

Years completed

Diploma / Degree

Course of Study

School Name – College/University

Years completed

Diploma / Degree

Course of Study

School Name – Graduate/Professional

Years completed

Diploma / Degree

Course of Study

Describe specialized training, apprenticeship, and skills:

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Employment At Will

I understand and agree that, if hired, my employment is for no definite period and may, regardless of the
date of payment of wages and salary, be terminated at any time without any prior notice and without cause.

I hereby certify that all answers to the questions in this application and all statements made on succeeding
pages are true, and I agree and understand that any misstatements of material facts contained in the application may
cause forfeiture upon my part to any employment sought hereunder.

Electronic Signature:

Please enter your name in the signature box above indicating that you are the individual referenced in this application,
that all statements are true to the best of your knowledge, and that you agree with the above Employment At Will statements.
Thank you for your interest in GO Auto Recycling.